Individual
GARY SPINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC, BRIDGEPORT, CT 06605-2602
(203) 330-6000
(203) 330-6007
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000050
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001178060
—
CT
Enumeration date
02/17/2006
Last updated
07/25/2014
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